MRS. KATHLEEN MARIE VANDEVENDER MSM, MBA
NPI 1801262431
Counselor in Medford, OR

Q: What is Kathleen Vandevender's NPI number?

The NPI number for Kathleen Vandevender is 1801262431. It was assigned to this individual provider in the NPPES registry on August 18, 2015. The provider is also known as Kathleen Marie Shank.

Q: What is Kathleen Vandevender's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since August 18, 2015

201 W MAIN ST STE 4E, MEDFORD, OR 97501(541) 281-9026(541) 635-2087 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, May 19, 2025, May 14, 2025 (3 updates tracked since 2025).

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About Mrs. Kathleen Marie Vandevender Msm, Mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHLEEN MARIE VANDEVENDER MSM, MBA (NPI 1801262431) is an individual counselor in Medford, Oregon and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1801262431

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. KATHLEEN MARIE VANDEVENDERCredential: MSM, MBA

Location Address201 W MAIN ST STE 4EMedford, OR 97501-2744

Mailing Address201 W Main St Ste 4eMedford, OR 97501-2744 · (541) 281-9026 · Fax (541) 635-2087

Phone(541) 281-9026

Fax(541) 635-2087

Sole ProprietorNo

Enumeration DateAugust 18, 2015

Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration

NPPES CertifiedAugust 14, 2025

✔ NPI 1801262431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

201 W MAIN ST STE 4E, Medford, OR 97501

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Other Names 1

Other Name (5)Kathleen Marie Shank

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CAROLYN ANN HENNESSEY M.A., LMFT

Marriage & Family Therapist